Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack William Rose, OTR/L

Individual provider Occupational Therapist · NPI 1730005133

Jack William Rose, OTR/L is an Occupational Therapist in Catonsville, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

55 Wade Ave
Catonsville, MD 21228-4663
Phone: (410) 402-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 07662 (MD)

Record details

NPI number1730005133
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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